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Gingival fibromatosis: a case report.

C Ercoli1, M Bartolino1, L Montesani1

  • 1Paediatric Dentistry, University of Rome "Tor Vergata", Rome, Italy.

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Gingival fibromatosis, a condition causing excessive gum growth, can be genetic or acquired. This case study highlights a conservative approach for a pediatric patient, delaying surgical intervention.

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Area of Science:

  • Dentistry
  • Pediatric Dentistry
  • Oral Medicine

Background:

  • Gingival fibromatosis involves significant gingival enlargement, potentially covering teeth.
  • Causes include genetic factors (isolated or syndromic) and acquired origins (e.g., drug-induced).
  • Idiopathic gingival fibromatosis is also recognized, with surgical removal often being the primary treatment, though recurrence is common.

Observation:

  • A 9-year-old male presented with diagnosed Primary Gingival Fibromatosis.
  • The patient was observed at the Clinic of Pediatric Dentistry, Tor Vergata Polyclinic of Rome.

Findings:

  • The diagnosis of Primary Gingival Fibromatosis was established.
  • The chosen therapeutic strategy was conservative management, deferring gingivectomy until after the patient's developmental phase.

Implications:

  • This case suggests a watchful waiting approach may be suitable for pediatric gingival fibromatosis.
  • Postponing surgical intervention could potentially reduce recurrence rates and improve long-term outcomes.
  • Further research into conservative management strategies for pediatric gingival fibromatosis is warranted.